Healthcare Provider Details

I. General information

NPI: 1891627501
Provider Name (Legal Business Name): COMPASSIONATE CARE AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 384
WYATT MO
63882-0384
US

IV. Provider business mailing address

307 GUM STREET
WYATT MO
63882
US

V. Phone/Fax

Practice location:
  • Phone: 573-587-6479
  • Fax:
Mailing address:
  • Phone: 573-587-6479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: CHALANDA BROWN
Title or Position: OWNER
Credential:
Phone: 573-587-6479